Forms

DeAnn would like you to fill out a either an Adult Packet if the person being seen is an adult, or a Child Packet if the person being seen is a minor. If you are being seen with your spouse / significant other, please fill out an Adult Packet for each person.

Collateral_Informed_Consent.pdf
Combined Adult Packet.pdf
Combined Child Packet.pdf
Credit_Card_Payment_Record_With_Authorization.pdf
Telemental Health Authorization to Treat v1_1e.pdf